Tuyển tập các nghiên cứu khoa học của trường đại học Huế đề tài: Cộng đồng hành động để hỗ trợ phòng chống sốt rét trong các làng nghề truyền thống tại huyện Hướng Hoá, tỉnh Quảng Trị, Việt Nam. | JOURNAL OF SCIENCE Hue University N0 61 2010 COMMUNITY ACTION TO SUPPORT MALARIA CONTROL IN TRADITIONAL VILLAGES IN HUONG HOA DISTRICT QUANG TRI PROVINCE VIETNAM Ho Sy Quang Medical Committee Netherlands-Vietnam E. Pamela Wright Hanoi Vietnam SUMMARY The Vietnamese government has been implementing a national malaria control program for many years. The program uses several effective strategies but the burden of malaria in poor and remote communities has not yet reduced. The reasons include reluctance on the part of some communities especially ethnic minorities to use bed nets and change their customary routines. MCNVsupported a community-managed health approach in Huong Hoa Quang Tri in which the villagers themselves identified malaria as a health problem and undertook changes to reduce their risk. In this report the activities of villages in the program are compared with those in villages not involved in the program. Methodology This was a cross-sectional study in combination of quantitative and qualitative methods. Four communes in Huong Hoa district two with and two without the community-managed health development CMHD intervention program were involved in the study. Results Significant differences between the CMHD and non-CMHD communities were found in the levels of new activities undertaken including negotiation with authorities for additional bednets the behavior change for reducing risk of malaria and people s confidence for addressing the malaria problem. In all of these cases the CMHD communities were more active than the communities receiving only the NMCP interventions. Conclusions The CMHD intervention could empower to change the traditional routines of the people in the mountainous area. CMHD using participatory planning could also lead to an effective health promotion and better functioning of the existing vertical programs. 1. Introduction Vietnam has been praised for its successful fight against malaria over the years reducing morbidity by 60 and .
